A systematic literature review of the impact of impaired self-awareness on the process of rehabilitation in acquired brain injury.

IF 1.5 4区医学 Q4 NEUROSCIENCES Brain injury Pub Date : 2024-12-05 Epub Date: 2024-08-19 DOI:10.1080/02699052.2024.2392161

Rebecca Di Somma, Peter Fleming

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Abstract

Background: Impaired self-awareness (ISA) is common in individuals with an acquired brain injury (ABI) and can lead to reduced awareness of one's difficulties. Previous reviews have found that ISA impacts on functional outcomes in rehabilitation. However, to date there has not been a systematic literature review which examines how ISA impacts on the process of rehabilitation in ABI populations.

Method: A literature search was conducted using several databases in May 2024, including Academic Search Premier, CINAHL, MEDLINE, APA PsycARTICLES and APA PsycINFO. Seventeen articles were selected for the review and were analyzed using Narrative Synthesis.

Results: Four themes arose from the findings, including goal setting, treatment adherence, engagement and willingness to change and time spent in hospital. ISA was found to impact on the value adult ABI participants placed in rehabilitation, which decreased treatment compliance, motivation, and engagement. ISA also impacted on goal setting and behavior and resulted in a longer length of time spent in hospital.

Conclusion: This review emphasizes the impact of ISA on various aspects/processes of rehabilitation in ABI and provides considerations of how clinicians might adapt interventions to manage these difficulties.

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关于自我意识受损对后天性脑损伤康复过程的影响的系统性文献综述。

背景：自我意识受损（ISA）在后天性脑损伤（ABI）患者中很常见，可导致对自身困难的认识不足。以往的综述发现，自我意识障碍会影响康复的功能结果。然而，迄今为止还没有系统性的文献综述来研究 ISA 如何影响 ABI 患者的康复过程：2024 年 5 月，我们使用多个数据库进行了文献检索，包括 Academic Search Premier、CINAHL、MEDLINE、APA PsycARTICLES 和 APA PsycINFO。研究选取了 17 篇文章进行综述，并采用叙事综合法进行了分析：结果：研究结果提出了四个主题，包括目标设定、治疗依从性、参与和改变意愿以及住院时间。研究发现，ISA 会影响成年 ABI 参与者对康复的重视程度，从而降低治疗依从性、积极性和参与度。综合服务评估还对目标设定和行为产生影响，并导致住院时间延长：本综述强调了ISA对ABI康复的各个方面/过程的影响，并就临床医生如何调整干预措施以应对这些困难提供了思考。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.